Pattern of blood component cross-matching and their utilization in a tertiary care hospital of Jammu region

Abstract

Background: Transfusion of donated blood remains the mainstay of treatment for a wide range of medical and surgical conditions. Although it can save life, but transfusion of blood is not without risk. Clinicians should cautiously assess the appropriateness of indications before requesting various blood components thereby preventing misuse of blood and unnecessary exposure of patient to various transfusion transmitted infections and antibodies production. This study was conducted to determine the pattern of whole blood (WB) and blood component cross-matching and their utilization and to minimize the inappropriate use of blood and its components.Methods: This cross-sectional prospective study was performed at SMGS Hospital Blood Bank, Jammu from April 2016 to September 2016. The requisition forms were analysed at the reception counter and inside the pre-transfusion testing laboratory for any error. The department wise utilization of blood and its components, Crossmatching to transfusion (C/T) ratio, transfusion probability (T%) and transfusion index (TI) were calculated.Results: A total of 14376 requests for cross-matching of blood and its components were received. All the units were cross-matched. Out of these, 12766(88.8%) units of blood and its components were issued to various departments. The most common indication for using packed red cells and whole blood was anemia and bleeding (APH/PPH/Trauma). The total C/T Ratio, transfusion probability (T%) and Transfusion index(TI) of various blood components were 1.12:1, 88.8% and 0.88 respectively.Conclusions: Our study indicates efficient usage of blood and its component. However, awareness is still needed amongst the clinicians and residents to ensure the appropriate use of blood and its components in the future as well. Hospital transfusion committee has to develop transfusion guidelines and subsequent implementation of such guidelines to assure effective blood utilization. MSBOS (maximum surgical blood ordering schedule) should be formulated for elective procedures with regular auditing, feedback, and modifications to improve blood ordering and utilization.

Wastage of Blood Units at Tertiary Care Hospitals of Lahore

“…Our study revealed an overall transfusion probability of 33%, as compared to studies by Devi et al, Kaur et al, and one in the Jammu region, which revealed %T values of 97.2%, 79%, and 88.8%, respectively, showing an effective utilization of blood [13][14][15].…”

Analysis of cross matching to transfusion ratio of blood components in blood bank SKIMS, Soura: a prospective one year study

“…Bashwari LA et al 12 2.9 Benin 2.2 Ibrahim SZ et al 13 3.9 Jayarancee S 14 5.0 Subramanian A et al 15 2.5 Yasmeen I et al 16 1.12 Mangwana S et al 17 1.34 Raghuwanshi B et al 18 6.31 Kuchhal A et al 9 1.8 Present study…”

Pattern of blood requisition and utilization in a tertiary care hospital: a chart review study

“…Blood being a biologic agent, is associated with both infectious and noninfectious complications. 2,3 Before prescribing blood or blood products for a patient, it is always essential to weigh up the risks of transfusion against the risks of not transfusing. The safety and effectiveness of transfusion depend on two key factors: supply of blood and blood products that are safe, accessible at reasonable cost and adequate to meet national needs and the appropriate clinical use of blood and blood products.…”